AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Anterior Vertebral Tethering Using Dynesys Tethering System

A patient with adolescent idiopathic scoliosis presented for anterior vertebral tethering. During surgery, three incisions were made over alternating ribs to allow access to vertebral levels T5-T11 and endoscopic instrumentation was placed. Right-sided vertebral screws were inserted and a tethering ligament was placed and tightened into the fixation screws of the Zimmer Dynesys tethering system while providing direct visualization with the thoracoscope. The device key instructs to “use Spinal stabilization device, pedicle-based for insertion in upper joints/lower joints,” but this device value is not available with the root operation “Reposition.” What is the correct root operation, reposition or insertion? ...

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